Hypertriglyceridemia - yintoni na? Izizathu kunye neNyango

Abantu abane-hypertriglyceridemia banyuse kakhulu ingozi yokukhubazeka okunzulu, engingafuni ukuhlangabezana nabani na nakweyiphi na ubudala. Kodwa into yokuba abantu abaninzi baninzi beva eli gama kugqirha. Yintoni ebonakalayo ngesifo, indlela yokuyijonga ngexesha kwaye ukukhusela, kungekhona wonke umntu owaziyo. I-recipe iimeko ezininzi zilula: kufuneka uqwalasele ngokucophelela umzimba wakho, zikhombe ngendlela ephilileyo kwaye uhlalutye rhoqo kwizinga lokuxininisa kwigazi le-triglyceride. Eli nqaku lichaza hypertriglyceridemia. Yintoni na? Ngale nto.

Inkcazo yesifo

Uxinzelelo oluphezulu lwe-triglycerides egazini lomntu lubizwa ngokuba yi-hypertriglyceridemia kwaye lwenzeka cishe malunga namashumi amabini anesibini, ngakumbi kubantu abadala.

I-Triglycerides yenye yeendidi ezininzi zamathambo emzimbeni wethu onoxanduva lokusebenza kwamanzi okugcina amanzi. Uninzi lwala mafutha lufakwe kwinqanaba leoli, kodwa ezinye zazo zikhoyo kwiimilambo zegazi kwaye zinikeza izihlunu kunye nomzimba wonke ngamandla anamandla. Umgangatho we-triglycerides awuzinzile kwaye ukhula ngokwemvelo emva kokutya, xa umzimba uphendulela ngamandla, ungafuneki okwangoku, kwiindawo zokutya ezinamafutha. Xa amafutha atshwayo angenayo ixesha lokuguqulwa kwamandla phakathi kokutya, izinga le-triglycerides landa ngokuphawulekayo kwaye, ukuba igcinwe kwixabiso eliphakamileyo ixesha elide, lingenza umonakalo omkhulu kwimpilo.

Ukuhlaziywa kwegazi kumxhesho ophezulu okanye ophantsi we-triglycerides ngumzuzwana obalulekileyo ekukhuselweni kwezifo, kuba kusenza sikwazi ukubona iinkqubo zangaphakathi zeenkqubo eziyingozi kwiimvavanyo zokuqala zophuhliso lwabo.

Ngaba i-hypertriglyceridemia yingozi? Yintoni le nto - isifo okanye isantlukwano esivamile?

Inqanaba eliqhelekileyo le-triglycerides

Ngokufanelekileyo, xa igazi le-triglycerides lingadluli kwi-150 mg / dL (1.7 mmol / l). Umgangatho wamafutha ukuya ku-300 mg / dl uthathwa njengophakanyiswayo kunye nempawu malunga nokuphulwa okwenzekayo kwintlangano yokutya kunye nobukho obunzima kwisigulane. Ukuxinwa kwe-triglycerides egazini elingaphezu kwama-300 mg / dl kubonisa ukuba sele iqalile inkqubo ezinzulu kunye neyingozi emzimbeni womntu, okumele uthintele ngokukhawuleza.

Kwenzeka ntoni egazini?

Xa i-hypertriglyceridemia egazini ikwandisa ukuxinwa kwe-triglycerides ngendlela ye-lipoproteins ephantsi kakhulu.

Baqala ukuhlala kwiindonga zeemitha kunye nemithambo yegazi, ezifakwe kwiindawo zokutya ezinqatha, ngokuthe ngcembe zanciphisa imithwayilo kwaye ngaloo ndlela zandisa umngcipheko wokuba nomhlaza kunye nezinye izifo.

Ubuninzi bexesha elide lobuninzi be-triglycerides kwinkqubo yokujikeleza kubangela ukuba kube nemiphumo embi nangakumbi: ukuhlaselwa intliziyo okanye ukushaya isifo. Inkqubo ingenakucinganiswa, kuba amafutha aqhubeka nokunciphisa ukunyaniseka kunye nomthamo wangaphakathi wesikebhe, kubangele ukuncipha nokupheliswa kokuphela kwegazi kumathambo kunye namalungu.

Kufuneka nini ukuba uphando?

Ukuba umntu ufumanisa ukuba "unobungozi," yintoni na kwaye ibonakala njani? Ngale nto.

Ukujonga umxholo ophezulu wamafutha egazini kuyimfuneko xa ukuhlolwa kwegazi ngokupheleleyo kubhalisile ukuphambuka kwimiqathango. Uphando olongezelelweyo kwi-concentration ye-triglycerides lunikezelwa ngokwahlukileyo okanye kunye novavanyo lwe-cholesterol yonke okanye njengenxalenye ye-lipidogram. Olu hlobo lokugqibela linconywa ukuba lugqitywe yonke iminyaka emihlanu kubo bonke abantu abadala abaneminyaka engamashumi amabini.

Kubaluleke kakhulu ukujonga ukuxilongwa kwe-triglycerides ye-diabetes, kuba ukuguqulwa kwinqanaba leeshukela kunyuse kakhulu i-triglyceride index. Endaweni yengozi, abantu abanezinye izifo ezingapheliyo. Ukuba kwintsapho nakwezinye izalamane ezincinane kwi-cholesterol ephezulu okanye izifo ze-cardiovascular ziphawulwe, ngoko uhlalutyo lokuqala luyanconywa ukuba luthathe kwiminyaka emibili ukuya kweyishumi. Kwakhona, xa kukho nayiphi na ukungathandabuzeki okanye ukubonwa kweenguqu ezingenangqiqo kwimisebenzi yomzimba, kuyimfuneko yokwenza i-appointment kunye neengcali ngokukhawuleza.

Impembelelo kwiphumo lophando

Ngoko, sele sele saziwa ukuba xa i-hypertriglyceridemia egazini ikwandisa ukuxutywa kwamafutha egazini.

Isiphumo sokuvavanywa kwegazi sichaphazelwa ezininzi izinto, ngoko ke kuyimfuneko ukulungiselela ukuhlolwa kwangaphambili. I-Triglycerides ihlala iphakamileyo kakhulu (ukuya kuma-5-10 amaxesha angaphezulu kuneqhelekileyo) nangemva kweeyure ezimbalwa emva kokutya okanye ukusela, ngoko ngexesha lokuthatha iimvavanyo kunye nesidlo sokugqibela kufuneka kuthathe ubuncinane iiyure ezingama-9-10. Ngokuqhelekileyo, igazi elithathwe kwisisu esingenalutho kunye namaxesha ahlukeneyo omhla kuyahlukahluka, kwaye kwabanye abantu inqanaba le-triglycerides lingahluka ngo-40% phakathi kwenyanga. Ngoko ke, isheke esinye asibonakali rhoqo umfanekiso we-degree of triglycerides, ngokulandelanayo, kungcono ukutshintshisa igazi.

Uhlobo lwesifo esinesigxina kunye nesingaqhelekanga

Kuze kube yimhla, umbuzo oqhelekileyo: u-hypertriglyceridemia ongapheliyo - yintoni na? Uthini umahluko phakathi kwesifo esingaqhelekanga?

I-Triglycerides, engena emzimbeni womntu ukusuka ngaphandle, okubandakanya ukutya, kuthiwa iyingqayizivele. I-triglycerides endogenous iyabizwa xa ibunjwa ngenxa ye-metabolism, oko kukuthi, kukho ukuhlaziywa emzimbeni.

I-hypertriglyceridemia ekugqibeleni iyabonwa ngokunyuka okukhulu kwiinkcenkceshelo zamafutha angathathi hlangothi egazini phantsi kweempembelelo zezizathu zangaphakathi.

I-hypertriglyceridemia efana neyona imeko apho i-triglycerides yanda ngenxa yokungondleki.

Iimpawu zesifo

Kukho isifo ngaphandle kokuvakalelwa kunye neempawu ezibonakalayo, ngoko kunzima ukwenza ukuba uhlalutyo olunjalo. Ukudibanisa ukudibanisa kungabonakalisa ukungonakali kombono, ubunzima kwicala lokunene, isibindi esandisiweyo, ukunyanzeliswa kunye nokukhathala, iintlungu zomzimba, iintlungu zesisu. Ubuso kunye nesikhumba sesigulane kufuthi kubonakale i-xanthomas, ezo zinto ziqokelelwa ngamafutha. Kodwa ezi mpawu ziyakwazi ukubonakaliswa kwezifo ezahlukileyo.

I-Hypertriglyceridemia ngaphandle kwonyango ejoliswe kuyo okanye ukungazigcinwa ngamabango ngcebiso ngezigulane ngezinye iimeko eziyinkimbinkimbi: ezinye izifo: ukukhuluphala, uxinzelelo lwexinzelelo, ukusabalalisa i-cerebral disorder, i-diabetes mellitus, i-cirrhosis kunye ne-hepatitis, atherosclerosis.

Into eyingozi kakhulu phakathi kweengxaki ziyi-pancreatitis enoxinzelelo lwe-hypertriglyceridemia-ukuvuvukala kwe-pancreas. Ifomu layo elihambelanayo lihamba kunye neentlungu ezixakekileyo kunye nokusikwa kwisisu esiswini, ukulahlekelwa ngokupheleleyo kwesidlo, isisonguluko, ukuhlanza, utywala kunye nomkhuhlane ophezulu. I-Pancreatitis ivame ukukhokelela kwi-pancreatic necrosis, i-necrosis yenxalenye okanye i-pancreas yonke ngenxa yokugonywa ngama-enzyme yokugaya.

Ukuze ugweme ukunyuka kweemeko, iingxaki kunye nokuhlaselwa kwezifo ezithintekayo, kubalulekile ukutyelela kwikliniki, uthathe iimvavanyo eziyimfuneko kwaye uqaphelisise intlungu kunye nokuphazamiseka okwenzekayo.

Hypertriglyceridemia: izizathu

Iqondo elifanelekileyo le-triglyceride egazini ngokuthe ngqo lixhomekeke kwiminyaka kunye nobulili bomntu. Imida yokuphakama kwesiqhelo kwimilinganiselo yonke iminyaka emihlanu, kunye neentlobo zezilwanyana ekuqaleni ziphakame kakhulu kunamadoda. Umgangatho ophezulu we-triglyceride kwi-plasma yegazi uphakanyiswa yizinto ezininzi:

• Ubudala (ikakhulukazi amadoda avela kwiminyaka engama-45 kunye nabesifazane abasuka kwiminyaka engama-55).
• U xinzelelo.
• Ubunzima beengxaki ezingapheliyo kunye nezigulane (ikakhulukazi isifo sikashukela, isifo se-thyroid esingafanelekanga, isifo sesifo).
• Ukusetyenziswa ngokweqile kotywala.
• Ubuninzi ekudleni kokutya okunamafutha, ukutya ngokutya.
• Indlela yokuphila.
• Ukutshaya.
• Eyesithathu intathumitha yokukhulelwa.
• Ukuthatha imithi ethile (ukulawula iipilisi, i-estrogen, i-steroids, i-diuretics kunye nabanye abaninzi).
• Uninzi lweemeko ezixinzelelekileyo.
• Heredity.

Xa i-triglycerides iyancitshiswa

Sasicinga eso sifo njenge-hypertriglyceridemia. Iimpawu zichazwe. Kuthiwani ukuba i-triglycerides egazini iyancitshiswa?

Inkcazo ye-triglyceride engaphantsi kwama-50 mg iphinda ibhekwe ukuphambuka kwimiqathango, kodwa ayinayo imiphumo emibi, ngokungafani neendawo eziphezulu. Inqanaba elinciphileyo le-triglycerides libonisa ukutya okungaxilwanga, ukungalingani nokungonelanelekanga, ukunyamezela ngokwemvelo ngokomzimba, ubukho bezifo ezingapheliyo kunye nezifo. Iyancipha le khombisi yokusetyenziswa rhoqo kwe-vitamin C. Ukunyuka okukhawulezayo nokuphumelelayo kwinqanaba le-triglycerides, kuyimfuneko ukuyeka ixesha elifutshane ukuthatha i-ascorbic acid, ukubeka ukutya okunonophelo okwaneleyo, ukunciphisa umsebenzi wokwenyama, tyelela ugqirha ukuze ufumane ukusuleleka kwezifo ezenzekayo ngendlela efihliweyo.

Hypertriglyceridemia: unyango

Isigulane sinokuphathwa kunye okanye ngaphandle kweyeza. Ukusetyenziswa kweziyobisi kunqunywe kwiifom ezinzima zesifo kwaye kuqala ngeqondo elincinci lonyango. Phakathi kwala mayeza, i-fibrates, i-nicotinic acids, ioli ye-cod ye-food ye-cod yesibindi kunye nama-statins, apho ngezinye izinto okanye izitho zomzimba zivimba ukwanda kwe-triglycerides nokunciphisa izinga. Xa kungabikho miphumo emihle, i-dosage yonyuka okanye iyinkqubo enzima icetywayo. Ukuthatha unyango ngaphandle kokubonisana nogqirha kuyingozi, ekubeni ukungazi kunye nokunyaniseka kunokukhokelela kwiintlobo ezahlukeneyo zeengxaki okanye iziphumo ezingekho phantsi.

Ukunganyangeki kweziyobisi kubandakanya imilinganiselo yamanyathelo, okuquka ukutya, unyango lwezifo ezithintekayo ezonyusa izinga le-triglycerides egazini, ngokuchanekileyo umsebenzi owenziwe ngokusemthethweni kunye nokulawulwa okuqhubekayo ekuqeshweni nasekunciphiseni umzimba. Wonke uxanduva lokulwa namafutha luwa ngokupheleleyo kwisigulana ngokwakhe.

Ukutya okuchanekileyo

Ukutya kwe-hypertriglyceridemia kubandakanya malunga ne-1,400 khalori ngosuku kwaye ivumela isigulane ukuba sinciphise ubunzima ukuya kuma-kilogramgram nganye ngenyanga. Ngaba kulo mzekelo kufuneka udla ngokuphindaphindiweyo, kodwa kwiincinci ezincinci, ngokusa kusasa, ukuphelisa ukutya kokugula ngaphambi kokulala okanye ebusuku. Akukho mzekelo unokwenza izipholozo ze-digress kunye ne-digress kwimenyu eqinile.

Isonka kunye ne-pasta kufuneka zisetshenziswe njengento encinci, kwaye ingqwalasela ephambili kwizinto ezivela kumgubo ococekileyo, i-bran ecebile kwi-fiber yokutya kwaye igaye kakhulu ngokuthe ngcembe, ngaloo ndlela iyancipha ukuxinwa kwe-triglycerides.

Ukusuka ekudleni kulungele ukukhawuleza kwaye kushenxise naluphi na iiskese, kubandakanywa ukutya, ikhekhe, i-ayisikrimu, i-caramel, i-jam, i-honey, i-juice ne-soda enomxholo ophezulu ushukela. Iintlobo ezicebileyo kwi-fructose, ngokukodwa izityalo zaseTropiki, kufuneka zifihliwe de kube zihlandlo ezingcono, zikhetha i-fiber yemifuno, equle inani elaneleyo kwiimbotyi.

Esikhundleni sezilwanyana ezizaliswe ngamanqatha ezivela kwi-bhotile, i-sausages, i-sausages, i-brisket, i-fat, i-ngulube etafileni kufuneka ibe khona i-unsaturated, i-nutritious and healthy fat. Intlanzi, ezaliswe ngokuyimfuneko kwesi sifo enamafutha e-omega-3, kufuneka isetyenziswe ubuncinane amaxesha amane ngeveki, ngaphandle kokuziphika iintlobo zeentlobo zayo. Uyakwamkelwa ngokukhethekileyo yi-tuna, i-salmon, i-mackerel, i-anchovies kunye ne-sardines.

Ngexesha lokunyanga, i-analog yamanqatha amanqatha, i-mayonnaise okanye i-oyile yemifuno iya kuba yioli yeoli ye-oli ye-cold first pressed, equlethe inani elincinci lezinto ezincedo ezinciphisa ingozi yomhlaza.

Amagumbi okudibanisa ekudleni akucetyiswa ngaphezu kwedoloji yansuku zonke (i-teaspoonful one), kwaye esikhundleni sokusetyenziswa ngokucwiliswa kokunambitheka okungenasondlo.

Amanzi ekudleni athatha phantse indawo yokuqala, kuba avunyelwe ubuninzi obungenamkhawulo, kokubili ngexesha lokutya nangomhla. Ngaphantsi kufanelekile ukubeka ingqalelo kwiziqhamo ezingenasiphelo, kwaye utywala luphikisana naluphi na ubungakanani, kuba negoli yewayini inokunyusa kakhulu inani lemafuno emzimbeni, ngakumbi kubantu abajongene notywala. I-tea kunye nekhofi zivunyelwe ngokumodareyitha kwaye xa zisebenzisa i-calorie ephantsi. Kwakhona kuyimfuneko kwaye ukungavumi ngokungavumelekanga ukutshaya okanye ezinye iziyobisi. Konke oku kufuna i-hypertriglyceridemia. Yintoni echazwe ngasentla.

I-Triglycerides: isizathu sokunciphisa umzimba

Ukungabikho kwezifo ezingapheliyo, ukuxilongwa okuphezulu kwe-triglycerides emzimbeni kubonisa ukuba khona kobunzima obunzima, kuninzi kakhulu. Isizathu sokwakheka kweekhilogram sisekunesondlo esingenakulungelelaniswa, ukutya okubizwa ngokuba yingozi kunye nokungahambi komsebenzi. Ukubuyela kwinqununu yokuqala kuya kubangela ukuqhelaniswa kokusebenza kwamafutha: baya kugqitywa ngokupheleleyo kumandla, oku kuya kuphazamisa ukunciphisa okufanayo ngexesha lexeshana kunye nokuxinwa kwe-triglycerides egazini.

Imenyu engaphelelwanga engekho ikhalori kunye nemenyu ekhethiweyo ngokufanelekileyo kwisondlo ngasinye iya kunciphisa kakhulu inani le-triglycerides efika kuba i-90% yeenqatha ihanjiswa emzimbeni kunye nokutya esikutyayo kwaye i-10% kuphela iveliswa ngamalungu angaphakathi. Oku kuya kubangela ukuhla kwe-triglycerides eyenziwa ngumzimba ngokwawo. Kwakhona kukufanelekile ukukhumbula ukuba ezinye ukutya zikhuthaza ukuveliswa kwesibindi ngobuninzi kunabanye, ngoko kubalulekile ukuba ungayinaki imigaqo kunye neengcomo zesondlo sokutya kunye ne-gastroenterologist. Ingakumbi ukuba kukho i-pancreatitis kunye ne-hypertriglyceridemia.

Nciphisa umphumo

Ukunamathela ngokuqhubekayo kuzo zonke iziphakamiso ngokubanzi kuya kunceda ukunqoba eso sifo ngokukhawuleza kwaye ngaphandle kweengxaki. Ukutya, ukulinganiswa kwemisebenzi yomzimba, ukuphila ngendlela enempilo malunga neveki ezi-4 ukuya ku-6 kubangela ukuhla kwe-50% kwinqanaba le-triglyceride egazini. Emva koko kuya kuba ne-hypertriglyceridemia.

Ukuxilongwa, unyango kufuneka lufike ngexesha.

Nangona kunjalo, ukuzinyango kunobungozi, kuba akukho mpawu ephawulekayo kwesi sifo, kwaye izinga le-triglycerides lingafumaneka kuphela kwiimeko zeebhoratri ezizodwa. Ngaphezu koko, i-hypertriglyceridemia ingenzeka phantsi kweempembelelo zezifo ezinzulu. Kwakhona, ugqirha uya kunceda ekukhetheni ngamnye kwenkqubo yezenzo zokwelapha nokuhlanganiswa kokutya kwansuku zonke. Ngokugxininiswa okubalulekileyo kunye nokuphezulu kwala mafutha egazini, ukubonisana nodokotela kunyanzelekile, kuba kunokwenzeka ukuba unyango kunye nokubeka iliso lwezonyango kuya kufuneka.

Siye saqwalasela ngokucacileyo eso sifo njenge-hypertriglyceridemia. Yintoni (impawu, unyango oluchazwe kwinqaku) ngoku licacile, ngokulandelanayo, ukukhusela ukuvela kwesi sifo kuya kuba lula.